Residency / Internship Info Request
Name
*
First Name
Last Name
Birthdate
*
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Where do you currently reside?
*
Street Address
Street Address Line 2
City
State
Zip Code
Name of college/university currently attending (if any)
How did you hear about us:
*
Social Media
Real Life Church Website
Personal Referral
Campus Recruiting Event
Handshake
Other
Current Year in School
Freshman
Sophomore
Junior
Senior
College Graduate
High School Graduate
N/A
I'm interested in:
*
Residency Fellow (35 hours/week)
Residency Associate (15 hours/week)
Summer Internship
Schedule a Follow up Zoom call (*appointment is not guaranteed. Someone will reach out to you to confirm appointment.)
Ministry Preference
Student Ministry
Children's Ministry
Adult Ministry
Worship
Audio-Visual Tech
Church Planting
No Preference
If you have any specific questions or would like to add any additional information:
Submit Form
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